Venous Compression for Prevention of Postthrombotic Syndrome: A Meta-analysis
Abstract Purpose To determine the effectiveness of venous compression stockings or compression bandages on the reduction of postthrombotic syndrome in patients with deep venous thrombosis. Methods We attempted to identify all published trials in all languages identified by PubMed through June 2009....
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| Veröffentlicht in: | The American journal of medicine 2010-08, Vol.123 (8), p.735-740 |
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| container_title | The American journal of medicine |
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| creator | Musani, Muzammil H., MD Matta, Fadi, MD Yaekoub, Abdo Y., MD Liang, Jane, MSc Hull, Russell D., MBBS, MSc Stein, Paul D., MD |
| description | Abstract Purpose To determine the effectiveness of venous compression stockings or compression bandages on the reduction of postthrombotic syndrome in patients with deep venous thrombosis. Methods We attempted to identify all published trials in all languages identified by PubMed through June 2009. Meta-analysis was performed. Results Based on 5 randomized trials of patients with deep venous thrombosis comparing treatment with venous compression to controls, mild-to-moderate postthrombotic syndrome occurred in 64 of 296 (22%) treated with venous compression, compared with 106 of 284 (37%) in controls (relative risk = 0.52). Severe postthrombotic syndrome occurred in 14 of 296 (5%) treated, compared with 33 of 284 (12%) controls (relative risk = 0.38). Any postthrombotic syndrome occurred in 89 of 338 (26%) treated, compared with 150 of 324 (46%) controls (relative risk = 0.54). Conclusion Venous compression reduced the incidence of postthrombotic syndrome, particularly severe postthrombotic syndrome. Venous compression in patients with deep venous thrombosis would seem to be indicated for this purpose. There was, however, wide variation in the type of stockings used, time interval from diagnosis to application of stockings, and duration of treatment. Further investigation, therefore, is needed. |
| doi_str_mv | 10.1016/j.amjmed.2010.01.027 |
| format | Article |
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Methods We attempted to identify all published trials in all languages identified by PubMed through June 2009. Meta-analysis was performed. Results Based on 5 randomized trials of patients with deep venous thrombosis comparing treatment with venous compression to controls, mild-to-moderate postthrombotic syndrome occurred in 64 of 296 (22%) treated with venous compression, compared with 106 of 284 (37%) in controls (relative risk = 0.52). Severe postthrombotic syndrome occurred in 14 of 296 (5%) treated, compared with 33 of 284 (12%) controls (relative risk = 0.38). Any postthrombotic syndrome occurred in 89 of 338 (26%) treated, compared with 150 of 324 (46%) controls (relative risk = 0.54). Conclusion Venous compression reduced the incidence of postthrombotic syndrome, particularly severe postthrombotic syndrome. Venous compression in patients with deep venous thrombosis would seem to be indicated for this purpose. There was, however, wide variation in the type of stockings used, time interval from diagnosis to application of stockings, and duration of treatment. Further investigation, therefore, is needed.</description><identifier>ISSN: 0002-9343</identifier><identifier>EISSN: 1555-7162</identifier><identifier>DOI: 10.1016/j.amjmed.2010.01.027</identifier><identifier>PMID: 20670728</identifier><identifier>CODEN: AJMEAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Bandages ; Biological and medical sciences ; Blood clots ; Clinical trials ; Deep venous thrombosis ; General aspects ; Humans ; Internal Medicine ; Medical sciences ; Medical treatment ; Meta-analysis ; Postthrombotic syndrome ; Postthrombotic Syndrome - prevention & control ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Randomized Controlled Trials as Topic ; Stockings, Compression ; Thrombosis ; Venous compression stockings</subject><ispartof>The American journal of medicine, 2010-08, Vol.123 (8), p.735-740</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Sequoia S.A. Aug 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-61385dca1e205eca87b0edbc5e833fe4e4cecb5fcd7f88194c5b372c8281b2a73</citedby><cites>FETCH-LOGICAL-c505t-61385dca1e205eca87b0edbc5e833fe4e4cecb5fcd7f88194c5b372c8281b2a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002934310003529$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23087569$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20670728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Musani, Muzammil H., MD</creatorcontrib><creatorcontrib>Matta, Fadi, MD</creatorcontrib><creatorcontrib>Yaekoub, Abdo Y., MD</creatorcontrib><creatorcontrib>Liang, Jane, MSc</creatorcontrib><creatorcontrib>Hull, Russell D., MBBS, MSc</creatorcontrib><creatorcontrib>Stein, Paul D., MD</creatorcontrib><title>Venous Compression for Prevention of Postthrombotic Syndrome: A Meta-analysis</title><title>The American journal of medicine</title><addtitle>Am J Med</addtitle><description>Abstract Purpose To determine the effectiveness of venous compression stockings or compression bandages on the reduction of postthrombotic syndrome in patients with deep venous thrombosis. Methods We attempted to identify all published trials in all languages identified by PubMed through June 2009. Meta-analysis was performed. Results Based on 5 randomized trials of patients with deep venous thrombosis comparing treatment with venous compression to controls, mild-to-moderate postthrombotic syndrome occurred in 64 of 296 (22%) treated with venous compression, compared with 106 of 284 (37%) in controls (relative risk = 0.52). Severe postthrombotic syndrome occurred in 14 of 296 (5%) treated, compared with 33 of 284 (12%) controls (relative risk = 0.38). Any postthrombotic syndrome occurred in 89 of 338 (26%) treated, compared with 150 of 324 (46%) controls (relative risk = 0.54). Conclusion Venous compression reduced the incidence of postthrombotic syndrome, particularly severe postthrombotic syndrome. Venous compression in patients with deep venous thrombosis would seem to be indicated for this purpose. There was, however, wide variation in the type of stockings used, time interval from diagnosis to application of stockings, and duration of treatment. Further investigation, therefore, is needed.</description><subject>Bandages</subject><subject>Biological and medical sciences</subject><subject>Blood clots</subject><subject>Clinical trials</subject><subject>Deep venous thrombosis</subject><subject>General aspects</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Meta-analysis</subject><subject>Postthrombotic syndrome</subject><subject>Postthrombotic Syndrome - prevention & control</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Stockings, Compression</subject><subject>Thrombosis</subject><subject>Venous compression stockings</subject><issn>0002-9343</issn><issn>1555-7162</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1r3DAQhkVpabZJ_0EpplB68nYkWR_uoRCWfgQSEkjbq5DlMZVrW1vJG9h_H5ndtJBLTpqRnnml0TuEvKGwpkDlx35tx37Eds0gbwFdA1PPyIoKIUpFJXtOVgDAyppX_IS8SqnPKdRCviQnDKQCxfSKXP3CKexSsQnjNmJKPkxFF2JxE_EOp3lJQ1fchDTPv2MYmzB7V9zupzYn-Kk4L65wtqWd7LBPPp2RF50dEr4-rqfk59cvPzbfy8vrbxeb88vSCRBzKSnXonWWIgOBzmrVALaNE6g577DCyqFrROda1WlN68qJhivmNNO0YVbxU_LhoLuN4e8O02xGnxwOg50wd2OUqISsVK2fJqsaKKVSZvLdI7IPu5gbWyBZcVZrkaHqALkYUorYmW30o417Q8EstpjeHGwxiy0GqMm25LK3R-1ds5w9FD34kIH3R8AmZ4cu2sn59J_joJWQdeY-HzjMv3vnMZrkPE4OWx_RzaYN_qmXPBZwg598vvMP7jH9a5maxAyY22WElgmiOeAih_cvacEv</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Musani, Muzammil H., MD</creator><creator>Matta, Fadi, MD</creator><creator>Yaekoub, Abdo Y., MD</creator><creator>Liang, Jane, MSc</creator><creator>Hull, Russell D., MBBS, MSc</creator><creator>Stein, Paul D., MD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Sequoia S.A</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20100801</creationdate><title>Venous Compression for Prevention of Postthrombotic Syndrome: A Meta-analysis</title><author>Musani, Muzammil H., MD ; Matta, Fadi, MD ; Yaekoub, Abdo Y., MD ; Liang, Jane, MSc ; Hull, Russell D., MBBS, MSc ; Stein, Paul D., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-61385dca1e205eca87b0edbc5e833fe4e4cecb5fcd7f88194c5b372c8281b2a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Bandages</topic><topic>Biological and medical sciences</topic><topic>Blood clots</topic><topic>Clinical trials</topic><topic>Deep venous thrombosis</topic><topic>General aspects</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Meta-analysis</topic><topic>Postthrombotic syndrome</topic><topic>Postthrombotic Syndrome - prevention & control</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Stockings, Compression</topic><topic>Thrombosis</topic><topic>Venous compression stockings</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Musani, Muzammil H., MD</creatorcontrib><creatorcontrib>Matta, Fadi, MD</creatorcontrib><creatorcontrib>Yaekoub, Abdo Y., MD</creatorcontrib><creatorcontrib>Liang, Jane, MSc</creatorcontrib><creatorcontrib>Hull, Russell D., MBBS, MSc</creatorcontrib><creatorcontrib>Stein, Paul D., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>The American journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Musani, Muzammil H., MD</au><au>Matta, Fadi, MD</au><au>Yaekoub, Abdo Y., MD</au><au>Liang, Jane, MSc</au><au>Hull, Russell D., MBBS, MSc</au><au>Stein, Paul D., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Venous Compression for Prevention of Postthrombotic Syndrome: A Meta-analysis</atitle><jtitle>The American journal of medicine</jtitle><addtitle>Am J Med</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>123</volume><issue>8</issue><spage>735</spage><epage>740</epage><pages>735-740</pages><issn>0002-9343</issn><eissn>1555-7162</eissn><coden>AJMEAZ</coden><abstract>Abstract Purpose To determine the effectiveness of venous compression stockings or compression bandages on the reduction of postthrombotic syndrome in patients with deep venous thrombosis. Methods We attempted to identify all published trials in all languages identified by PubMed through June 2009. Meta-analysis was performed. Results Based on 5 randomized trials of patients with deep venous thrombosis comparing treatment with venous compression to controls, mild-to-moderate postthrombotic syndrome occurred in 64 of 296 (22%) treated with venous compression, compared with 106 of 284 (37%) in controls (relative risk = 0.52). Severe postthrombotic syndrome occurred in 14 of 296 (5%) treated, compared with 33 of 284 (12%) controls (relative risk = 0.38). Any postthrombotic syndrome occurred in 89 of 338 (26%) treated, compared with 150 of 324 (46%) controls (relative risk = 0.54). Conclusion Venous compression reduced the incidence of postthrombotic syndrome, particularly severe postthrombotic syndrome. Venous compression in patients with deep venous thrombosis would seem to be indicated for this purpose. There was, however, wide variation in the type of stockings used, time interval from diagnosis to application of stockings, and duration of treatment. Further investigation, therefore, is needed.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20670728</pmid><doi>10.1016/j.amjmed.2010.01.027</doi><tpages>6</tpages></addata></record> |
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| subjects | Bandages Biological and medical sciences Blood clots Clinical trials Deep venous thrombosis General aspects Humans Internal Medicine Medical sciences Medical treatment Meta-analysis Postthrombotic syndrome Postthrombotic Syndrome - prevention & control Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Randomized Controlled Trials as Topic Stockings, Compression Thrombosis Venous compression stockings |
| title | Venous Compression for Prevention of Postthrombotic Syndrome: A Meta-analysis |
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